MRCEM Notes

Intracranial Pressure

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ICP Key Points


Cerebral perfusion pressure is calculated by subtracting the intracranial pressure from the mean arterial pressure.

CPP = MAP - ICP


Intracranial pressure is raised in:

  • Hypercapnia
  • Hypoxia
  • Low cerebral perfusion
  • Accelerated hypertension
  • Conditions affecting CSF circulation e.g. mass lesions, obstructive hydrocephalus, venous thrombosis and oedema (which may be secondary to other causes such as infart or infection)
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